A Mighty Fortress is Our God VBS Registration
July 31-August 4 from 8:45am-11:45am at St. Paul Lutheran Church-Lake Mills
Parent ('s) Name (s)
Your answer
Family Name (Last Name)
Your answer
Daytime Phone Contact
Your answer
Address (number, street, city, state, zip)
Your answer
Secondary Phone number in case of an emergency
Your answer
E-mail Address
(will be kept private-used for communicating prior and during the week)
Your answer
Child 1 Name AND grade going into in the Fall
VBS is for children entering 3k to 6th grade in Fall 2016
Your answer
Child 2 Name AND grade going into in the Fall
Your answer
Child 3 Name AND grade going into in the Fall
Your answer
Special Concerns for us to know about
(allergies, medical conditions, etc.)
Your answer
Further information
(i.e. more children name/ages, other information, etc.)
Your answer
How Did you Find out About VBS at St. Paul?
Do you have a Home Church?
By entering my initials and clicking submit below, I give St. Paul VBS Staff permission to make a decision based on Christian values in case of an emergency. I also grant permission for my child(ren) to be photographed for use in promotional materials.
Enter initials in box
Your answer
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